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��: i <br /> To�.al Fee: $ Date Received: , <br /> Entered By: � Permit#: /p ro p/ � <br /> CITY OF ORONO - BUILDING PERMIT A�'PLICAT`ION � <br /> All information must be submitted in full before plan review will be started. <br /> � �_ � � _--_'_�Iease print at1 information) ----- -- <br /> i�� �v L�CJ C:�� �.� � , � �. � <br /> THE APPLIC�NT IS: (circle one) OtiYNER OR CONTRACTOR� � � . � <br /> �--� � G� Q. , <br /> JOB SITE ADDRESS: 1 �o I U � �'1 ' �,v� �, ZIP: S �3�"l I <br /> � � , <br /> � � � <br /> � NAME OF Oti�NER: � � � d n U/ � PHO�IE: (home) � � � / <br /> (work) <br /> ( ' ��, 7`lfiZIP: S_'�,-� <br /> I1�I�.TLII�TG ADDRESS: (-� 1 C-� S �cAr �,.Lr �r�r�;�CITY: (�._ J� � � <br /> � � <br /> co��x.A.cTox: �� A U �I2 t C 1% �nti'��rxo�: `-�`�� 7��� � i <br /> CO�'TACTPERSON: � _a,�- MOBILE�PAGER: � 1 ��' �� ' <br /> ���TG�nnx�ss: r 2 �� � ' c�crrY: ��,�v���'r zrP: �— � 1 <br /> STATE LICE�'SE: #_ � ���-, . <br /> ARCHITECTIEi�TGINEER: PHONE: <br /> 1�•iA.II�ING ADDRESS: CITY: ZIP: <br /> I�'AME: REGISTRATION# <br /> TYPE OF ti'VOR�i: New Addition / Accessory Structure <br /> Move � � Remodel/Alteration 1� Land Alteration <br /> PROPOSED'��O (describe in detain: 2. — �o o � c �r � <br /> .�v � , � <br /> � <br /> STORTES: SQ.k�EET OF EACH FLOOR: � - <br /> NO. OF BEDROOMS: GARAGE STALLS: AT�'. DET. <br /> � - ' , <br /> ESTII�i IATED CONSTRUCTION VALUATION (excluding land): $ c� � � � �. � <br /> I hereby apply for a buildin;permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the �ity and with <br /> the State Buildin� Code; that I understand chis is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICA.NT'S SIGNAT'URE: DATE: �" 1 � / � <br /> NO�'E! Parade Q Flome� events require separate permit approval by Police Deparlment and <br /> � City Council 60 days prior to the event. Non permitted events wi11 not be allowed. <br />